HAVENS OF OHIO LLC NPI 1700290301

NPI Information

NPI: 1700290301
Provider Name: HAVENS OF OHIO LLC

Doing Business As: WOODHAVEN

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 36D2086637

Address:
1 ELIZABETH PL
DAYTON, OH
ZIP 45417
Phone: (937) 837-3717
Get Directions

HAVENS OF OHIO LLC is a substance abuse rehabilitation facility in Dayton, OH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. HAVENS OF OHIO LLC NPI is 1700290301. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodhaven.

The provider's business location address is:

1 ELIZABETH PL
DAYTON, OH
ZIP 45417-445
Phone: (937) 837-3717

The provider's authorized official is Linda Dunlap .
The authorized official title is Clinical Director and has the following contact phone number (937) 813-3717.

The CLIA number assigned to this NPI record is 36D2086637 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2014 and was last updated on 6/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		13533	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13533	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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